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NURS 205 Exam II Questions & Verified Answers | IV Therapy, Macrodrip & Microdrip Tubing, Fluid & Electrolyte Balance, Hypovolemia, Hypervolemia, Central Lines, IV Complications & Shock Management | Updated 2026/2027 | Instant Download

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NURS 205 Exam II Questions & Verified Answers covering high-yield nursing concepts related to IV therapy, fluid and electrolyte balance, vascular access, IV complications, hypovolemia, hypervolemia, gerontologic fluid management, shock, and vasoactive medications. This exam-focused resource organizes important definitions, clinical manifestations, nursing interventions, IV administration concepts, safety considerations, and emergency management topics for efficient NURS 205 exam review. Topics covered include: • Macrodrip and microdrip IV tubing and drop factors • Fluid infusion, bolus administration, fluid resuscitation, and titration • Hypovolemia: causes, manifestations, assessment, diagnosis, and treatment • Urine specific gravity and fluid-balance assessment • Fluid and electrolyte considerations in older adults • Isotonic, hypotonic, and hypertonic IV fluids • Hypervolemia/fluid excess and associated assessment findings • Fluid restriction, diuretics, intake and output, daily weights, and edema assessment • Central-line safety and aseptic technique • TPN administration and infection-prevention considerations • Medication compatibility with central-line lumens • IV insertion skills and maintaining IV patency • Patient identification, allergies, positioning, hand hygiene, and IV preparation • Tourniquet use and vein assessment • Common IV gauge sizes and clinical applications • Peripheral IV insertion technique and confirmation of patency • Appropriate and inappropriate IV sites • Phlebitis and nursing interventions • Infiltration and immediate management • Extravasation and vesicant medication safety • Shock and tissue hypoperfusion • Types of shock, including hypovolemic, cardiogenic, obstructive, septic, anaphylactic, and neurogenic shock • Compensatory stage of shock and clinical manifestations • Progressive stage of shock and intensive nursing management • Irreversible shock, organ dysfunction, and supportive care • Hemodynamic monitoring and ICU management • Oxygen therapy, fluid replacement, laboratory monitoring, and neurologic assessment • MAP and blood-pressure monitoring concepts • Vasoactive medications including dopamine, norepinephrine, and vasopressin • Vasoconstriction, perfusion, and medication safety • Ventilator care, nutrition support, skin protection, and family support in critical illness A convenient study resource for nursing students reviewing NURS 205 Exam II material, IV therapy, fluid management, shock, vascular access, and critical-care nursing concepts.

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NURS 205 Exam II
Questions Verified and
Provided with A+
Graded Answers |Latest
Updated 2026

,Macro drip tubing


-gtts: 10, 15, 20
-traumas
-general fluids
advantages:
-*fast fluid infusion*
-*fluid resuscitation*
-boluses
disadvantages:
-potential fluid overload (overcorrecting)
-difficult to titrate



Micro drop tubing


-gtts: 60
-"slowly"
-potent meds
advantages:
-easy to titrate
-avoids fluid overload
disadvantages:
-no fluid resuscitation
-no boluses



Hypovolemia


-low fluid volume
-s/s: weakness, fatigue, dizziness, increased thirst
-causes: dehydration, trauma, fluid accumulation between cells, CHF, renal disease
-diagnosis: urine (high specific gravity), blood test, x-ray/MRI
-trx: oral hydration/diet, IV fluids (for dehydration), blood transfusion (for blood loss)

, Urine specific gravity


- <1.005 -> excessive fluids
-drinking too much, changes in lyte values
- >1.030 -> highly concentrated
-increase in amount of waste products, salts, & lytes


Gerontologic population and fluid/electrolyte balance


-causes of imbalance: decreased thirst mechanisms, diuretics, cognitive issues, less muscle
mass, decreased kidney function
-s/s: thirst, dry skin, sticky/dry mucous membranes, weight loss, concentrated urine
-monitor I&O


*Isotonic IV fluids*


-0.9% NS (blood), LR (has electrolytes), D5W (hypoglycemia)
-*no swelling or shrinking of cells w/ increased fluids*
-same concentration as blood


Hypotonic IV fluids


-*0.45% sodium chloride*
-*causes cells to swell*
-lower concentration of NaCl than blood

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